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Open Enrollment for Retirees
January 10, 2025 update
United Healthcare confirmed HealthPartners will remain an in-network provider for UHC Premier and Standard Medicare Advantage plans at least through the end of 2026.UHC also confirmed Ramsey County can offer the Senior Supplement with Prescription Drug plan for plan year 2026.
With confirmation from UHC that retiree access to HealthPartners providers will continue through 2026 and Ramsey County can continue providing the Senior Supplemental plan for 2026, Ramsey County will not be requesting proposals for new retiree medical plans for 2026. Ramsey County Human Resources will request proposals for new retiree medical insurance for plan year 2027.
Remember
The County extended a one-time exception to Retirees who left the county’s retiree insurance program in 2025 that allows retirees to return to any of the 3 UHC medical plans at any time during 2025 or for 2026. Retirees who want to return to one of the 3 UHC plans must do so by 1/1/2026.
Please use [email protected] to contact Ramsey County Human Resources regarding these updates.
UPDATE as of November 12, 2024:
United Healthcare has reached agreements with HealthPartners and Essentia Health ensuring continued, uninterrupted network access to HealthPartners and Essentia Health facilities and providers for retirees enrolled in a UHC Medicare Advantage plan for 2025.
On November 12, 2024, Human Resources sent a letter to all retiree home addresses announcing the agreements and providing next steps for retirees who want to update their 2025 plan enrollment. (link to letter)
Open Enrollment for 2025 Insurance Benefits began Monday, Oct. 21 and was scheduled to end Monday, Nov. 11. Given the recent UHC agreements with HealthPartners and Essentia Health, retirees will have until November 29, 2024 to update their 2025 enrollment. Follow the instructions in the letter dated November 11, 2024 to update enrollment or email [email protected].
Drop-in sessions
In-person drop-in sessions will be held at the Maplewood Community Center on both Friday, October 18th and Thursday, October 31st. Human Resources staff will be there to answer individual questions and collect enrollment forms from retirees from 9 a.m. to noon and 1 to 3 p.m. each day.
Informational meeting
One virtual meeting was held on Tuesday, Oct. 29 from 1:30-3:00 p.m. CST via Zoom. Representatives from Ramsey County Human Resources, United Healthcare, Blue Cross Blue Shield and MetLife presented benefits and answered general questions.
Watch the recorded Zoom meeting
Key things to keep in mind
- All plans offered for early retiree medical and retiree dental remain the same for 2025.
- There is a deductible increase, based on IRS rules, to the BCBS High Deductible Health Plan in 2025.
- Chiropractic therapies on the BCBS Broad plan will go from 20% coinsurance in 2024 to a $30 copay in 2025.
- If you are making changes to your dependent enrollment, you will need to return your personal enrollment form and may need to also complete a Dependent Change Form.
- If you are not making any changes, you do not need to complete the enrollment form and the coverage shown on your form will be the plan you will remain in for 2025. If you are making changes and need to return your enrollment form, please mail it to Ramsey County Human Resources, 121 7th Place E, Suite 4000, Saint Paul, MN 55101
- Please note: The rates on the enrollment forms in your packets for early retirees and retirees covering dependents on a BCBS plan may not be your final rates as they subject to bargaining and have not yet been approved by the county board.
- If you pay your invoices for premiums via check or bank bill-pay, you must always include your invoice number on your payment. Please note, these numbers change every quarter.
- Retirees who carry single coverage and have Medicare or cover themselves and a spouse, both on Medicare, will have access to the new UHC Senior Supplement and Prescription Drug Plan in 2025. Further details are included in your individual enrollment packet that was mailed to you the week of October 14th.
- Retirees who are enrolled in both the UHC Medicare Advantage plan and the MetLife Dental plan must be sure their dental office has the proper coordination of benefits. UHC Premier or Standard plan need to be listed as primary dental insurance and MetLife Select or Open plan as your secondary insurance.
- If you are a retiree with dependents under age 65 (spouse or children), those dependents will only have access to the Blue Cross Blue Shield Broad plan, as in 2024. Retirees with dependents not Medicare eligible will only be able to enroll in the UHC Premier plan and will have the option to move to the UHC Standard plan or UHC Senior Supplement plan when all dependents are eligible for Medicare.
- If you have questions on premiums, eligibility or adding / dropping coverage, contact Azure Wickert at 651 266-2731.
- If you wish to enroll in quarterly auto payment of insurance premiums, complete the Direct Debit Form here and return via email to Azure or mail it to: 121 7th Place E, Suite 4000, Saint Paul, MN 55101
- Ramsey County invoices may now be paid online! Please visit ramseycounty.us/PayInvoices for more information. You will need your Customer Number and Invoice Number to complete your transaction.
- If you need to change your address email Azure or leave a voicemail with the address change at: 651 266-2731.
- All calls will be answered as soon as possible. Your patience is appreciated!
Medical Insurance Options for Regular Retirees
Ramsey County will remain with United Health Care for 2025 regular retiree medical insurance plans.
United Health Care has a dedicated phone line to answer your questions on the Medicare plans, call 1-844-588-5872, TTY 711 or go online and visit the webiste: retiree.uhc.com/ramseycountymn.
View a recorded presentation explaining these benefits: 2025 United Health Care Benefits Presentation
2025 United Healthcare Premier and Standard Plans
The UnitedHealthcare® Group Medicare Advantage PPO plan for your health care and prescription drug coverage, which will be offered to Medicare-eligible retirees and their Medicare-eligible dependents will continue to be available in 2025.
These plans are custom plans designed exclusively for Ramsey County retirees and should not be confused with individual UnitedHealthcare Medicare Advantage plans that might be available in your area.
UnitedHealthcare® Group Medicare Advantage plans
The UnitedHealthcare Group Medicare Advantage plans are Medicare Advantage plans that deliver all the benefits of Original Medicare, include prescription drug coverage (Part D), and offer additional benefits and features. These plans are not a supplement plan and do not pay secondary to Medicare. All claims are submitted directly to UnitedHealthcare for payment, not Medicare. You will need to continue to carry Medicare A and B to be eligible for these new plans.
As a UnitedHealthcare Group Medicare Advantage plan member, you are offered benefits and services beyond what you will find with Original Medicare. You’ll have a team committed to understanding your needs, helping you get the care you need and assist you in managing your health. UnitedHealthcare will connect you to health and wellness resources and even help to schedule your preventive care, including arranging an Annual Wellness Visit. Below, you can find highlights of what the new plans offer.
- UnitedHealthcare® HouseCalls – An in-home visit designed to complement your doctor’s care. A licensed and knowledgeable health care professional will review your health history and current medications, perform a health screening, identify health risks and provide health education.
- 24/7 Nurse Support – Speak to a registered nurse anytime about your medical concerns and questions.
- Rewards – Earn rewards for taking an active role in your health and wellness by completing and reporting certain health care activities.
- Renew Active® – A fitness program for mind and body that’s designed for you and your goals, offered exclusively by UnitedHealthcare. Renew Active includes a free gym membership with access to our national network of gyms and fitness locations, at no additional cost to you.
- You can see any provider (in-network or out-of-network) at the same cost share, as long as they have not opted out of or been excluded or precluded from Medicare.
- Choose from thousands of pharmacies across the United States, including national chain, regional and independent local retail pharmacies.
- Renew by UnitedHealthcare® – Our online member-only Health & Wellness Experience
- Virtual Visits – Live video chat* with a provider from your computer, tablet or smartphone — anytime, day or night
- Virtual Doctor Visits – Good for minor health care concerns such as cough/cold, allergies, fever, flu or sore throat
- Virtual Behavioral Health Visits – Good for behavioral health concerns such as stress and anxiety, or depression
For questions, contact UnitedHealthcare Customer Service toll-free at 1-844-588-5872, TTY 711, 8:00 a.m. – 8:00 p.m. local time, Monday - Friday.
UHC Premier and Standard Plan Benefits Summary
2025 United Healthcare Senior Supplement with Prescription Drug Plan
The UnitedHealthcare Senior Supplement with Prescription Drug Plan is a new offering for plan year 2025. The Senior Supplement plan uses the Medicare provider network and pays secondary to Original Medicare.
If you enroll in the Senior Supplement and Part D plan in 2025 you will receive two new ID cards, one for the Senior Supplement plan to be used with your original Medicare card at your medical provider/facility location and another card for your Prescription Drug Plan (PDP). You will need to make sure you show your original Medicare card and your Senior Supplement card to all your medical providers when receiving services.
BCBS Broad Plan for retirees over 65 and not eligible for Medicare -Formerly Major Medical
Blue Cross and Blue Shield of Minnesota - Broad Plan (Aware network - $600 deductible 20% coinsurance plan)
Watch the BCBS Open Enrollment Presentation
Medical coverage for retirees over 65 but not eligible for Medicare is available through the Blue Cross Blue Shield of Minnesota Aware $600 Deductible plan. It is the same plan in which active employees or retirees under 65 may participate. You must have coverage on yourself to cover your dependents. There are 4 enrollment tiers to choose from; Single, Retiree + Spouse, Retiree + Child(ren) or Family. Dependent children may be covered up to age 26 regardless of student status, place of residence, or marital status.
This plan provides in-network and out-of-network coverage. To obtain in-network benefits, you may obtain services from any Aware Network provider in Minnesota, or BlueCard PPO network provider outside of Minnesota.
Benefits: There is an annual in-network deductible (not applicable to preventive care or prescriptions) of $600 per person/$1,200 per family. Preventive health care is covered at 100% for in-network providers; you pay 40% after deductible for out-of-network providers (except for prenatal care and well-child care to age six which are covered at 100%). Your office visit co-pay to see an in-network provider for illness or injury is $30 for primary care and $50 for specialists; to see an out-of-network provider you pay 40% after deductible. Your co-pay if you visit an in-network retail health clinic is $10; to see an out-of-network provider you pay 40% after deductible. Urgent care is covered after a $50 copay for in-network providers; or a $100 copay for out-of-network providers; emergency room care is covered at 100% after a $150 co-pay for in and out-of-network providers. E-visits are covered at the same level as retail health clinic visits for illness or injury.
You pay 20% after deductible if you use an in-network inpatient hospital; or 40% after deductible for an out-of-network inpatient hospital. There is an annual medical and prescription combined out-of-pocket maximum of $4,500 per person/$9,000 per family for in-network providers; and $9,000 per person/$18,000 per family for out-of-network providers. The co-pay for Select Network retail pharmacies for FlexRx preferred generic drugs is $10, $15 for non-preferred generics, $25 for preferred brand, and $35 for non-preferred brand drugs. A mail order pharmacy benefit is available to obtain a 90-day supply of prescription drugs for three co-pays. No coverage is provided for any prescription drugs from out-of-network providers.
Out-of-network benefits: For Emergency Room and Emergency Medical Transportation services, the out-of-network benefit is the same as the in-network benefit. For non-emergency care, you generally pay 40% after deductible for inpatient and outpatient care (of the allowed amount recognized by Blue Cross and Blue Shield of Minnesota) after you have met your deductible of $1,800 per person or $3,600 per family. Costs incurred in excess of the allowed amount are the responsibility of the member (balance billing) and do not count toward the out-of-pocket maximum. The out-of-pocket maximum for eligible out-of-network medical expenses is $9,000 per person/$18,000 per family.
Summary of Benefits Coverage: A detailed Summary of Benefits Coverage (SBC) is available at www.ramseycounty.us/OpenEnrollment . If you require a paper copy, you may contact Ramsey County Human Resources.
Provider Information
The most current provider information is available on the Blue Cross Blue Shield of Minnesota website (www.bluecrossmn.com), or you may contact Blue Cross Customer Service at 844-348-0582. You can also search for a provider using the BCBS website and selecting the Aware network here.
MetLife Dental Plans
Ramsey County’s dental program will be provided by MetLife in 2025. Retirees who elected coverage at the time of retirement and are currently enrolled in a dental plan will have the opportunity choose either of the MetLife dental plans in 2025.
View Dental Open Enrollment presentation
Dental Plan Benefits Comparison Chart (PDF)
MetLife Select Plan
By choosing this plan, you have access to MetLife’s PDP Plus network, and have a higher calendar year maximum. Choose from more than 2,300 dentists in Minnesota and 130,000 nationally. Each time you make an appointment, you or your family member can select a dentist. Choosing a dentist in network provides the most cost-effective care and provides richer benefits.
Non-participating dentist –You can choose to receive services from a dentist who does not participate in the MetLife PDP Plus network. However, you pay your coinsurance as well as the difference between what the dentist charges and the allowable fee, which may result in significant out-of-pocket expenses. It is recommended that your dentist submit a pre-treatment estimate for services over $300 to MetLife to identify costs prior to receiving services
MetLife Open Plan
Choose from more than 2,300 dentists in Minnesota and 130,000 nationally. Each time you make an appointment, you or your family member can select a dentist. Choosing a dentist in network provides the most cost-effective care and provides richer benefits.
Non-participating dentist –You can choose to receive services from a dentist who does not participate in the MetLife PDP Plus network. However, you pay your coinsurance as well as the difference between what the dentist charges and the allowable fee, which may result in significant out-of-pocket expenses. It is recommended that your dentist submit a pre-treatment estimate for services over $300 to MetLife to identify costs prior to receiving services.
Information for Early Retirees
Ramsey County will offer Early Retirees and their families the Blue Cross Blue Shield Plans again in 2025. There will be 4 coverage tiers to choose from for this plan. The premiums for most 2025 Early Retiree plans have not yet been set by the county board. More information is available on the employee open enrollment page 2025 Employee Open Enrollment.
Frequently Asked Questions
Why can’t I cover my non-Medicare dependents and have Sr. Supplement?
Ramsey County historically has only offered one plan that combines with dependents on the under 65 plan. The Sr Supplement plan is offered just like the UHC Standard plan, where the only way to be on the plan is if all members enrolled are on Medicare.
HealthPartners said they are not going to take the UHC Sr. Supplement Plan -
UHC Response: At this time there is no reason why HealthPartners would not accept the Supplement plan. When providers bill Original Medicare for services, the claims are automatically routed to the supplement plans by Medicare and then payment is processed.
Why did RC just add another UHC Plan for us?
HealthPartners notified us of their intentions in July and because we have to follow strict state guidelines on adding new contracts and 5 months’ notice is not enough time for this process. The county board approved a solution that would allow retirees access to HealthPartners using what we already had in place.
Why are we not having OE info meetings?
Because each retirees’ need are so unique and questions vary by situation, we chose to do one on one sessions rather than a group info session this year.
Will we still need coordination of dental benefits if we move to the Sr. Supp plan?
No, there is no need. This is because there are no extra dental benefits on the supplemental plan, only the Medicare Advantage plan add the extra dental benefit.
If I drop, can I come back and will I still get my county contrib. and will I lose my contribution?
Your earned county contribution is locked in to our HR system and that will not go away if you take advantage of this one-time opportunity to drop the RC plan and come back. If you leave the county plan now and an agreement is reached that makes you interested in coming back on the plan, you can go back on the MA plans anytime in 2025 or for a last opportunity for 1-1-26 and that original county contribution will continue.
Will I still be using Optum for my prescriptions on the Sr. Supplement with Rx plan?
Yes, Optum will continue to manage the prescriptions for the Part D plan that is paired with the Supplement.
What do I do about prescriptions that I have refills ordered for in to 2025 if I change from a UHC Medicare Advantage plan to the Sr. Supplement?
Members will want to update their ID card with their pharmacist when they pick up their prescriptions in January if they move to the Sr. Supp/PDP plan. Individuals that change plans will receive a new Part D ID card so they want to be sure to use that.
Will all my same drugs be covered at the same level if I switch to the Sr. Supplement with Rx plan?
Yes
How would I go about finding a new provider if I stay on the Medicare Advantage plan and stop using HealthPartners or Essentia?
Members can go to retiree.uhc.com/ramseycountymn or they can call the number on the back of their ID card if they need help finding new providers
What are the benefits for the skilled nursing facility with the Sr. Supplement with Rx plan? Can I get care if I was not admitted in the hospital for 3 days? There is a “no” listed in the coverage line on the plan document.
The Senior Supplement plan follows Medicare guidelines which requires a prior hospital stay when receiving inpatient skilled nursing care.